TRUSTEE APPOINTMENT

The following are additional instructions to be applied to the trust agreement established on ____________________, by _______________________________, naming ___________________________________________________ as beneficiary:

It is hereby declared that as Testator, _____________________________________ nominates __________________________________________________________ (Name), of __________________________________________________________ (Address), as trustee of this trust. ________________________ is therefore granted in trust, the assets proclaimed in the attached Section __________. These assets are to be trust property which is to be retained, applied and disbursed in the manner defined in Section ________.

______________________________ ______________________________

Signature Date

______________________________ ______________________________

Witness Date

______________________________ ______________________________

Witness Date

______________________________ ______________________________

Witness Date